Acute myocardial infarction occurs. Before going to the hospital, use some Chinese medicines such as nitroglycerin or quick-acting savior pill. Is this better prognosis?Recently, the latest analysis of researchers at Fuwai Hospital of the Chinese Academy of Medical Sciences shows that the effect of taking nitroglycerin on the improvement of symptoms is better than the rapid efficacy.However, whether it is taking nitroglycerin or a quick -acting savior pill, it cannot be saved.
No matter which medicine is taken
Strong> and unused people The incidence of incidents is similar
This study was included in China In the Registration Research, 13,064 patients with ST-section Priming myocardial infarction (STEMI) patients (patients who have excluded common nitroglycerin and Chinese medicines), of which 5,280 patients accepted an emergency coronary arteries.
Studies show that 8.8%of these 13064 patients use nitrate glycerin, 13.3%of Chinese medicines, including fast -acting savior pills, compound Danshen drop pills, muskbuxin pills, etc.Essence
Research found that the proportion of the proportion of reaching the hospital within 6 hours to the hospital before admission and the proportion of emergency systems before the hospital were higher than those of unused medicines.Patients with nitroglycerin are alleviated higher than those who use Chinese medicine.
Multi -factor logistic analysis (a broad linear regression analysis model) shows that nitrate glycerin has increased by 33.1%compared with the symptoms of Chinese medicine and partial relief.However, regardless of the use of nitroglycerin or proprietary medicine, it is similar to the incidence of incidents such as death, cardiac arrest, heart failure, cardiological shock, malignant arrhythmia, etc.
Even if the symptoms are relieved after taking the medicine
Research further analyzed patients who received emergency coronary angiography, and found that the blood flow grades of Chinese medicine or nitroglycerin and non -medicated patients (coronary veinsDuring the process of angiography, the proportion of levels of 2 to 3 was 21.6%, 15.8%, and 19.3%by the lesions of vascular lesions by the coronary angiogonic agent).
Multi -factor Logistic analysis shows that compared with patients with unused drugs, the blood flow grading of patients with proprietary proprietary Chinese medicines is similar to the level of 2 to 3.The possibility of level 2 ~ 3 is reduced.
The author pointed out that some studies have found that the application of drugs (including nitroglycerin) before hospitals is a common cause of delay treatment for patients with high myocardial infarction in ST segments.However, the guidelines issued by the American Cardiac Society and the American Heart Association in 2004 pointed out that in order to encourage patients with ST section to lift up the symptoms of myocardial infarction symptoms, they can contact the emergency system of the front hospital as soon as possible.The bottom contains a piece of nitroglycerin; if the symptoms have not improved or deteriorated 5 minutes after applying nitroglycerin, it is recommended to call the front aid system immediately.
The Guide to the Intestation of Traditional Chinese Medicine and Traditional Chinese and Western Medicine also suggested that in addition to nitroglycerin, Chinese medicine can be used to relieve chest pain symptoms, such as fast -acting savior pills, compound Danshen drop pills, musk musk, muskBaoxin pills, wide -cut gas fog agents, etc.
However, the current research found that the proportion of pre -hospital first aid systems using nitroglycerin or proprietary patent medicine is higher, and the proportion of reaching the hospital within 6 hours is also higher.Compared with those unused, the application of drugs before hospitals has not delayed treatment. It is speculated that this may be related to the lack of understanding of myocardial symptoms of myocardial infarction.Patients with drugs have at least realized that symptoms are related to heart disease, and those who do not use drugs are more delayed.
Researchers pointed out that for patients with chest pain and suspicion of myocardial infarction, even if the symptoms of nitroglycerin or proprietary patent medicine have eased, the ambulance should be called to the hospital for treatment.
Call the ambulance in time
The key to cure myocardial infarction
Researchers emphasized that for patients who are suspected of acute myocardial infarction due to chest pain, no matter what kind of medicine contains, and no matter the symptoms are relieved, they should call as soon as possible as soon as possibleThe pre -hospital first aid system is visited to avoid delayed diagnosis and treatment.For patients with ST section raised myocardial infarction, it is the last word to open blood vessels as soon as possible.
Yang Jingang, deputy chief physician of the Department of Cardiology, Fuwai Hospital of the Chinese Academy of Medical Sciences, said that for myocardial infarction, whether it is nitrate glycerin or quick -acting savior pills, it cannot save patients lives.According to statistics, more than 60%of patients with acute myocardial infarction died before the hospital because they did not get timely treatment before the hospital, and 10%of patients died on their way from home to hospitals.First aid method.When suspected myocardial infarction, calling ambulance in time is the key link for treating myocardial infarction.
Yang Qing, chief physician of the Heart Department of Huaxi Hospital of Sichuan University, pointed out that patients need to be sent to the hospital for emergency treatment after the onset of the patient. It is usually recommended to wait for the "120" first aid car to come.Because they respond quickly, specialize in handling techniques, emergency skills, familiar with first aid routes, and understanding the right treatment hospital.Malemate to avoid driving to the hospital by themselves, because a series of actions of driving may increase the disease itself.In addition, the disease that causes chest pain usually changes rapidly. If the loss of consciousness during the driving process may cause a car accident, not only will it cause its own secondary damage, but it may also hurt the surrounding vehicles and crowds.
Reprinted, please indicate the source health Times WeChat public account
The cover of this article and the picture in the text from the copyright gallery
Reporter || Dong Chao
Edit || Yan Hongbo
